Conclusions
Our result shows the incidence of adhesion at the secondary CS is minimal or nonexistent and use of adhesion barriers at primary CS does not significantly reduce adhesion, shorten the time needed for neonate delivery, and improve surgical outcome at repeat CS. In contrast, use of adhesion barrier films during emergency CS or in a woman having labor before operation is associated with a significantly higher risk of postcesarean fever which potentially means increased risk of SSI. Therefore, we don’t suggest routine application of adhesion barrier films during cesarean deliveries especially in emergency CS or in a woman having labor before operation.
Abbreviations: CS (cesarean section), BMI (body mass index), American Society of Anesthesiologists (ASA), surgical site infection (SSI), hyaluronic acid/carboxymethylcellulose (HA-CMC), oxidized regenerated cellulose (ORC), Food and Drug Administration (FDA), urinary tract infection (UTI)